American Orthopaedic Society for Sports Medicine (AOSSM) Release: Elbow Position Not a Predictor of Injury

SAN FRANCISCO, CA – Elbow position alone appeared to not affect injury rates and performance in college-level, male pitchers say researchers presenting at the American Orthopaedic Society for Sports Medicine’s Specialty Day in San Francisco, CA.

“The elbow’s position in relation to an injury and enhanced performance in baseball pitchers is highly dependent upon the trunk’s position,” said lead researcher, Carl W. Nissen, MD of Elite Sports Medicine and Connecticut Children’s Medical Center in Farmington, CT. “Our research showed that the pitching motion is complex and a direct relationship between true elbow position and how much stress is placed on a joint does not appear to exist.”

The researchers studied 55 collegiate-level, male pitchers who pitched a fastball towards a target 60’6” away. Kinematic data was collected using a Vicon 512 motion capture system, and kinetic data was calculated using custom Matlab programming based on inverse dynamic techniques.

Visual elbow drag had a positive association with ball velocity (p=0.046). Regression analysis showed that for every 10cm of visual elbow drag ball velocity was decreased by 1.3m/s.

“The results of this study suggest that an improperly positioned elbow (visual or true) is not a factor in increasing injury rates as neither elbow drop nor drag correlated with elbow stress. Elbow drag, however, did correlate with decreased ball velocity demonstrating that elbow position is important for pitcher performance,” said Nissen.

The American Orthopaedic Society for Sports Medicine (AOSSM) is a world leader in sports medicine education, research, communication and fellowship, and includes national and international orthopaedic sports medicine leaders. The Society works closely with many other sports medicine specialists, including athletic trainers, physical therapists, family physicians, and others to improve the identification, prevention, treatment, and rehabilitation of sports injuries. AOSSM is also a founding partner of the STOP Sports Injuries campaign to prevent overuse and traumatic injuries in kids. For more information on AOSSM or the STOP Sports Injuries campaign, visit www.sportsmed.org or www.stopsportsinjuries.org

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